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    OpenPayerNPI Medicare & MedicaidGavin Mayo
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    Gavin Mayo — Billing Profile & Reimbursement Data

    NPI 1902514680 · Carriere, MS · Family Nurse Practitioner

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    Gavin Mayo is a family nurse practitioner provider located in Carriere, Mississippi. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationGavin Mayo
    Address200 Course Drive
    CityCarriere
    StateMS
    ZIP39426
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedNovember 10, 2022

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider reports lifetime Medicare revenue of $1.5M and has no Medicaid billing on file, making their commercial payer mix effectively single‑payer Medicare for the observable dataset. The precomputed figure shows the top 3 Medicare codes account for 94.9% of the provider's Medicare revenue, indicating Medicare dominates their billed activity.

    Revenue concentration is extreme: Q4262 alone accounts for $1.4M (91.4% of this provider's total Medicare revenue), and the precomputed top‑3 share of 94.9% confirms that nearly all Medicare dollars flow from a very small set of services. That concentration suggests the provider's financial profile is heavily tied to reimbursement and utilization for those specific codes.

    The code mix strongly signals a wound‑care and procedural focus: Q4262 (dual layer impax membrane add‑on), 11042 (surgical debridement to subcutaneous layer), and 97610 (low‑frequency ultrasound for wound healing) are the top revenue drivers. Together these codes (Q4262, 11042, 97610) imply the practice performs advanced wound therapies and debridement procedures rather than being predominantly primary care office visits.

    Competitive standing varies by code: for Q4262 the provider ranks #68 of 141 providers nationally (52th percentile; typical, unremarkable volume for this code), so despite the large revenue share they are not an outlier nationally for that service. By contrast, 11042 ranks #922 of 10712 providers nationally (91th percentile; typical, unremarkable volume for this code), indicating comparatively high relative volume in surgical debridement among a broad national peer set, while 97610 ranks #232 of 320 providers nationally (28th percentile; typical, unremarkable volume for this code), reflecting modest activity on ultrasound‑assisted wound care.

    Clinical operations extend beyond procedures: the provider billed evaluation and management codes 99214 (281 claims, $21.9K, 1.5% of Medicare revenue) and 99213 (366 claims, $20.1K, 1.3% of Medicare revenue), and also reports home‑visit codes 99350 (59 claims, $6.9K, 0.5%) and 99345 (13 claims, $1.6K, 0.1%). This mix indicates outpatient/office‑based follow up and some home‑based care are part of the service offering, but these E/M services contribute only a small share of total Medicare revenue compared with the dominant procedure codes.

    The absence of any Medicaid billing on file ("none below") means analysts should treat this provider as effectively single‑payer Medicare in the available claims snapshot. This lack of Medicaid activity could reflect practice contracting choices, patient population, or state enrollment decisions, and it limits comparisons with in‑state Medicaid peers.

    NPI tenure is relatively recent: enumerated 2022-11-10 (~4 years ago), and the provider accumulated $1.5M in lifetime Medicare revenue in that interval. Given the short enrollment window, the observed revenue concentration around a small number of procedure codes is notable for profiling growth and service specialization since initial enumeration.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4262Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)1,440$950$1.4M
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.430$70$30.9K
    97610The provider uses a low–frequency ultrasound device to try to improve wound healing.90$260$22.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…280$80$21.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…370$60$20.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…110$110$11.9K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…60$120$6.9K
    11045The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…260$20$6.2K
    15275The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…50$90$4.3K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…20$100$2.2K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42622101,440$930$1.1M
    992141,3624,110170$70$21.9K
    9761021070$260$15.6K
    1104226140120$60$13.5K
    99350256050$110$10.4K
    992135924,000100$50$10.3K
    9921519490040$110$9K
    15275142060$90$6.4K
    992041,4912,15040$100$5.8K
    99345202030$120$4.9K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Gavin Mayo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Blandon SorrellLAFamily Nurse Practitioner$6.2M$0
    Wound Care Associates LLCLASpecialist$0$5.6M
    Shanda JacksonLAFamily Nurse Practitioner$4M$0
    Stephen PriceLAPhysician Assistant$3.4M$0
    Jared SmithLAFamily Nurse Practitioner$2.6M$0
    Lakisher MorganLAFamily Nurse Practitioner$2M$0
    Tara SykesMSFamily Nurse Practitioner$1.6M$0
    Stefanie CorleyLAFamily Nurse Practitioner$1.2M$0
    Amie WilsonLAFamily Nurse Practitioner$1.1M$0
    Jose SilvaLAInterventional Cardiology Physician$982.6K$120

    Nearby Providers

    Other providers in the same ZIP code as Gavin Mayo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Picayune Pediatrics LLCMSPreferred Provider Organization$0$1.9M
    Miranda ReevesMSFamily Nurse Practitioner$775.9K$0
    Ahmad HaidarMSInternal Medicine Physician$154.5K$60
    Christina MeadorMSNurse Practitioner$38.5K$0
    Debbie MooreMSChiropractor$35K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Mississippi Distribution
    Gavin Mayo — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi